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NPI Code Detail

MEDICARE: NAVNEET KAUR BAMRAH PA-C

MEDICARE:   NAVNEET KAUR BAMRAH  PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantIL

General Provider Information

NPI Number : 1336753342
Entity Type Code : Individual
Provider Name (Legal Business Name) : NAVNEET KAUR BAMRAH PA-C
Provider Business Mailing Address
First Line : 1190 S NAPER BLVD
Second Line :
City : NAPERVILLE
State : IL
Zip : 60540-8331
Country : US
Telephone Number : 630-527-6390
Fax Number :
Provider Business Practice Location Address
First Line : 1190 S NAPER BLVD
Second Line :
City : NAPERVILLE
State : IL
Zip : 60540-8331
Country : US
Telephone Number : 630-527-6390
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2020
Last Update Date : 08/25/2022

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Directions to “ NAVNEET KAUR BAMRAH PA-C” Practice Location

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